目的运用Morisky服药依从性量表,探讨影响肺结核患者服药依从性的因素,并提出相应干预措施。方法采用分层整群抽样法,对样本乡镇2011年1月至2011年12月登记的所有肺结核患者共342例进行问卷调查。调查内容包括肺结核患者的社会人口学特征、家庭经济状况、疾病负担、服药依从性、社会支持与心理状况等。结果经卡方检验和logistic回归分析,家中是否有人从事医疗卫生工作、家庭经济收入、疾病负担、是否关注健康节目对患者服药依从性有影响等因素差异有统计学意义(P<0.05)。结论建议政府相应提高低收入及疾病负担较重的患者的补助,拓宽健康教育途径,改善患者服药依从性。 Objective To use the Morisky medication adherence scale to explore the factors influencing the medication compliance of patients with pulmonary tuberculosis and to propose corresponding intervention measures. Methods A stratified cluster sampling method was used to survey 342 all patients with tuberculosis registered in the sample townships from January 2011 to December 2011. The survey included the socio-demographic characteristics of tuberculosis patients, family financial status, disease burden, medication adherence, social support and psychological status. Results By chi-square test and logistic regression analysis, there were significant differences in the factors such as health care work, family income, disease burden, whether or not attention was paid to health programs on medication compliance of the patients in the family (P <0.05). Conclusions It is suggested that the government should correspondingly increase the subsidies for patients with low income and heavier burden of disease, broaden the channels of health education and improve the compliance of patients with medication.